New York Licensed Medical Claims Supervisor

Job Summary

A company is looking for a Medical Claims Supervisor, Ops.

Key Responsibilities

• Manage daily operations and processes within the department, including employee workflow and claims distribution
• Train, mentor, and oversee staff performance while ensuring compliance with departmental policies and procedures
• Develop and implement workflow changes to enhance service and production efficiency

Required Qualifications

• Minimum high school diploma with three years of related experience in healthcare or managed care
• At least two years of experience in a leadership role
• State licensure certification may be required, with a six-month timeframe to obtain if not already certified
• Knowledge of claims processing, provider billing, and medical coding systems preferred
• Ability to manage multiple projects and maintain confidentiality in a fast-paced environment